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Duragesic is DEA Schedule 2 Controlled Substance, meaning that:

1. The patient is only allowed a 30 day supply

2. All prescriptions must be new (no refills allowed)

3. Prescriptions cannot be called in - they must be new originals

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Q: A prescription for Duragesic patches should be filed under which DEA schedule?
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Duragesic patches were recalled because there were negligible tears in the patches, thus releasing more fentanyl than should have been released per hour. These patches were taken off the market, the pharmaceutical companies (including the ones that made generic patches) rectified the problem and then the patches were on the market again.


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You can transition from patches to any other opiate. However, the primary reason that patients are normally prescribed Duragesic is that their pain is constant, chronic, and high enough that the amount of acute pain meds that would have to be taken in its place isn't going to work as effectively. Fentanyl patches are currently the only opiate therapy that lasts for days, not hours. Even OxyContin only lasts between 8-12 hours, and the dose dropoff is very steep compared to Fentanyl. Duragesic use should never be considered lightly, as it's a life altering decision. Being at the mercy of Federal regulations concerning Schedule 2 opiates is not fun, but in all decisions quality of life must be the paramount factor. If it helps you lead some semblance of a normal life, then it's worth it.


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How will you schedule change should an infant have a difficult day?

how will your schedule change should a infant have a difficult day


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